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Maine rates for HCPCS G0247

Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include the local care of superficial wounds (i.e., superficial to muscle and fascia) and at least the following, if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.35 / $20.35 / $72.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $54.08 / $73.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.49 / $62.86 / $126.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $29.04 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.38 / $87.24 / $182.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.35 / $30.33 / $72.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.89 / $103.21 / $172.97